Individual
MARK GENCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3488 SHERIDAN DR, AMHERST, NY 14226-1545
(716) 832-6207
(716) 832-3282
Mailing address
3434 HANCOCK BRIDGE PKWY STE 301, NORTH FORT MYERS, FL 33903-7099
(877) 856-3774
(239) 599-2612
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
281857
NY
207Q00000X
Family Medicine Physician
OS13988
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/30/2012
Last updated
03/06/2024
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